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The study – Insights from Survivors: Managing the Personal, Emotional and Financial Impact of Cancer – surveyed 400 Americans who were 25 to 65 at the time of diagnosis and had received radiation or chemotherapy in the past 10 years. Two-thirds of respondents (65%), all with an annual household income between $35,000 and $100,000, did not have sufficient household income to cover treatment-related expenses and incurred debt.

A recent study finds middle-income Americans on average give themselves about a 1-in-5 chance of being diagnosed with a critical illness in the next three years and a 1-in-2 chance of being diagnosed with a critical illness within the next 20 years.

This first-of-its kind study looks at cancer’s lasting impact on middle-income Americans who are diagnosed with cancer and those who provide care and support. The typical diagnosis triggers significant changes—and the physical, emotional and financial battle scars can remain long after treatment ends.

By evaluating real survivors’ experiences, the Washington National Institute for Wellness Solutions hopes to share what others have learned and educate millions of at-risk Americans.